CV ASC Registry Education-Seq#4530 (Cardiomyopathy Prior to CABG)

Video Transcription

If the patient is noted to have had a coronary artery bypass graft procedure, sequence 4530, pre-existing cardiomyopathy, will populate.  Sequence 4530, cardiomyopathy prior to CABG, is seeking to identify if the patient had pre-existing cardiomyopathy prior to their procedure.  The notes further clarify that if there is no documentation regarding a pre-existing cardiomyopathy to code no, but if the patient has documentation of  a left ventricular ejection fraction of less than 40% as well as heart failure noted prior to the CABG, then you may code yes.

Video Summary

The video discusses coding guidelines for patients with pre-existing cardiomyopathy who have undergone a coronary artery bypass graft (CABG) procedure. If a patient had cardiomyopathy before the CABG, coders should specify this using sequence 4530. When there is no documentation of pre-existing cardiomyopathy, coders should code "no." However, if the patient's left ventricular ejection fraction is less than 40% and heart failure was noted before the CABG, coders should code "yes." These distinctions help accurately represent the patient's medical history in the coding process.

Keywords

coding guidelines

cardiomyopathy

coronary artery bypass graft

left ventricular ejection fraction

heart failure